King's College London

Research portal

Salud sexual y reproductiva y derechos humanos de mujeres que viven con el VIH: Una encuesta comunitaria a nivel mundial

Research output: Contribution to journalArticle

Manjulaa Narasimhan, Luisa Orza, Alice Welbourn, Susan Bewley, Tyler Crone, Marijo Vazquez

Original languageSpanish
Pages (from-to)243-249
Number of pages7
JournalBulletin of the World Health Organization
Volume94
Issue number4
DOIs
Publication statusPublished - 1 Apr 2016

King's Authors

Abstract

Objective To determine the sexual and reproductive health priorities of women living with human immunodeficiency virus (HIV) and to allow the values and preferences of such women to be considered in the development of new guidelines. Methods A core team created a global reference group of 14 women living with HIV and together they developed a global community online survey. The survey, which contained mandatory and optional questions, was based on an appreciative enquiry approach in which the life-cycle experiences of women living with HIV were investigated. The same set of questions was also used in focus group discussions led by the global reference group. Findings The study covered 945 women (832 in the survey and 113 in the focus groups) aged 15–72 years in 94 countries. Among the respondents to the optional survey questions, 89.0% (427/480) feared or had experienced gender-based violence, 56.7% (177/312) had had an unplanned pregnancy, 72.3% (227/314) had received advice on safe conception and 58.8% (489/832) had suffered poor mental health after they had discovered their HIV-positive status. Conclusion The sexual and reproductive health needs and rights of women living with HIV are complex and require a stronger response from the health sector. The online survey placed the voices of women living with HIV at the start of the development of new global guidelines. Although not possible in some contexts and populations, a similar approach would merit replication in the development of guidelines for many other health considerations.

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454